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HomeMy WebLinkAbout2514 LA GOLONDRINA ST; ; CB151466; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-13-2015 Cogeneration Permit Permit No:CB151466 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2514 LA GOLONDRINA ST CBAD COGEN Sub Type: PHOTO 2155612000 Lot#: 0 $7,600.00 Constuction Type: NEW Reference #: CHRISTIE RES= INSTALL ROOF MNT Status: ISSUED Applied: 05/13/2015 Entered By: LSM Plan Approved: 05/13/2015 Issued: 05/13/2015 Inspect Area: Plan Check #: PV SYSTEM 19 MODULES//UPGRADE PANEL TO 125 AMPS//FLUSH MNT//5.3 KW Applicant: T AND M SOLAR INC STE D 7848 SILVERTON AVE SAN DIEGO CA 92126-6308 760-703-3890 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Green Bldg Stands (SB1473) Fee $96.55 $0.00 $67.58 $0.00 $0.00 $1.00 $1.00 Owner: CHRISTIE LINDA 2514 LA GOLONDRINA ST CARLSBAD CA 92009 PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Additional Fees TOTAL PERMIT FEES Total Fees: $166.13 Total Payments To Date: $166.13 Balance Due: Inspector: FINALhPPR{VA1-. Date: S · 2--• !,,\ Clearance: $0.00 $0.00 $0.00 $0.00 $166.13 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a}, and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any /exa tions o h ve I been iv imilar to s to wh· atute r ·tatio s a I the i i d. J. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCO Cci~or Building Permit Application Plan Check No. (1_E,./ 5 J 41,a(L, 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ,{..I!, r) Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 '.11 -- email: building@carlsbadca.gov t\~ Plan Ck. Deposl www.carlsbadca.gov DateSIJ.311:S lswPPP JOB ADDRESS ~7/~ &,,("...,,(,.;.,,,I( 5+ SUITEf/SPACEI/UNIT# -.-IAPN [,,.,. --- CT/PROJECT# ILOT# -I PHA.SE # I# OF UNITS I# BEDROOMS # MTHROOMS I TENANT BUSINESS NAME I coNsrn. TYPE I acc. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) :r: ... f_{,. f..-.,+ ;_ > (<--fr/ s y&f.,...., ;, Ff .. ~t. """'·"" ""'t +_.,f 1-.., "Vv+-... .) 100 -7 ,,.~4 ~t!ll"'II'• 'c::. o(. vp~.-~)< l 9. mCP LLl ~ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS SFP YESQ "'° YES □No □ YES□No□ APPLICANT NAME T;,..., M.,{"/4. ,.._) ""1 ~-'~- PROPERTY OWN1ER J /' t,, ,,. . ·,,I:.,. Primary Contact 1,,.-.,,,., "" ADDRESS , ADDRESS -?rf<v ,;: '(,, • l.,A A-. s+~t ~ "'t;1<.( £,. .. /-,_ J,,,~·-- CITY STATE ZIP STATE ZIP >~~ ,:) .~.,.,t;IJ . .c,4 ,;i,.;i" CITY le. c;.,,,_ bu..,,( (..,I--,~ oo"I PHONE IFAX PHONE IFAX 76()-f).:l r-.,.?'-f. 7 &,n-,;-:, I-P'<f °' cf EMAIL EMAIL -f;.,._, (v -L,.~.J .-. c-/•,,,.. C .,_._ DESIGN PROFESSIONAL CONTRACT~US. NAME -".,I ,M c I~-'~~ ADDRESS ADDRESS 5.1 (~-l,M A.;<. t;f,. B ,_ . ., ,, CITY STATE ZIP CITY STATE ZIP s: -~ 1).-~.1 ~ C../fC '1~ (,<£ PHONE IFAX PHONE IFAX 7L,..-~:l~-6'?..;i~ EMAIL EMAIL I STATE UC.# STATE UC.# ICLASS I CIT''t?A"'"!J 7 do-I 3' "f)-757? &-10 (Sec. 7031.5 Business and Professions Gode. Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, p_nor to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of DIvisIon 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for the alleged exemption. Any vIolatIon of Section 7031.5 by any applicant for a permit subjects the applicant to a cIvII penalty of not more than five hundred dollars ($500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of pe!jury one of the following declarations: ~ and wlll maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the wor1< for which this permit is issued. ~ I have and will maintain work 'compensatl~, as required bv jection 3700 of the Labor Code, for the performance of the wor1< for which this permit is issued. My workers' compensaijon insurance carrier and pollCy numberare:lnsurar.ceCo. ,,,,.,... ,,..J -( PolicyNo. L..IV 2..o['f oooot,3:7ExpirationDate q-{-/5°" ~section need not be completed if the permit is for one hundred dollars ( ) or less. LJ Certificate of Exemption: I certify that in the perfonnance of the wor1< for which this pennil is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fallure to secure workers' compansati coverage is unlawful, and shall subject an employer to criminal penaltin and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages provid ctlon 3706 of the Labor code, Interest and attorney's fees . .J#5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's license Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such wor1< himself or through his own employees, provided that such improvements are not intended or offered for sale, If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale), I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section _____ ,Business and Professions Code for this reason: 1. I personalty plan to provide the major labor and materials for construction of the proposed property improvement. OYes 0No 2. I {have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (fInn) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the wor1<, but I have hired the following person to coordinate, supervise and provide the major wor1< (include name I address/ phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired} the following persons lo provide the wor1< indicated (include name I address I phone I type of wor1<): _6$ PROPERTY OWNER SIGNATURE □AGENT DATE >•----·~··--· -------- COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley•Tanner Hazwdous Substance Account Act? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the pertonnance of the work this permit 1s issued (Sec 3097 (1) CIVIi Code) lender's Name lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the aboYe Information Is conect and that the Information on the plans Is acx:urate. I agree ID comply'Mth aH City oldlnances and State la'II$ relating ID buUdlng construction. I hereby authorize rei:resentative of the City of Carlsbad b enter UJX)n the above menooned property tir inspection PJIJX)SeS. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CAALSBAO AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA perm rt is requred for excavations over 50' deep and demolrtbn or c:onstrucikln of strucb.Jres over 3 stories in he'Jhl. EXPIRATION: Every pennit ~ by the Bu!kling Offi::ial under the provisk:ms of this Code shall expire by lrrlitation and become null and vok:l Wthe buikling or Yllfk authorized by sudl pem,lt is not oommenood within 180 days from the date of st.dl ~nnrt or if the building or uthorized such nded or abandoned at any ~me after the Yllfk is oommenood bra ~ricx:I of 180 days (Sectbn 100.4.4 UnOOirTI Building Code), -@S' APPLICANT'S SIGNATURE DATE 5,. • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildinq@carlsbadca.gov or Mail the completed fonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR {On Pg . .1) MAIL TO: CONTACT {Listed above) CONTRACTOR (On Pg . .1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ ,65 APPLICANT'S SIGNATURE ASSOCIATEDCB#'------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB151466 Type: COGEN PHOTO Date _ lnspectio_i,_ltem _ Inspector Act ----------- 05/21/2015 35 Photo Voltaic (PV) RI 05/21/2015 39 Final Electrical RI 05/20/2015 35 Photo Voltaic (PV) PD AP 05/20/2015 39 Final Electrical PD AP 05/14/2015 33 Service Change/Upgrade RI Friday, May 22, 2015 CHRISTIE RES= INSTALL ROOF MNT PV SYSTEM 19 MODULESI/UPGRADE PA Comments CHRISTIE RES AROUND NOON/ SERVICE UPGRADE Page 1 of 1